Drugs available on Contract

Displaying 5121 - 5140 of 5993

Contract Number	Brand Code	Brand Name	Active Ingredient	Trade Name	Package Size	Formulary Category	Pkg Price	Unit Price	Unit Description	Max. Reimbursable Quantity / Month	Package Description	Manufacturer Code	Manufacturer Name	Agent Code	Agent Name	Benefit	Therapeutic Code	Therapeutic Desc	Drug Contract Start Date	Drug Contract End Date	Status Description	Default Route	Max Repeats	Therapeutic Head	Amend Date
40	A3951	SERETIDE DISKUS 500MCG \| 50MCG INHR (GSK/COL) F	FLUTICASONE\|SALMETEROL	SERETIDE DISKUS	60 DOSES	A	60.97	60.97	INHALER	0	INHR	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31	CHANGE FROM CAT C -CAT A	ORAL INHALATION	0	RESPIRATORY TRACT AGENTS	0000-00-00
41	A3951	SERETIDE DISKUS 500MCG\|50MCG INHR (GSK)	FLUTICASONE\|SALMETEROL	SERETIDE DISKUS	60 DOSES	A	64.1	64.0981	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2024-04-01	2026-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
42	A3951	SERETIDE DISKUS 500MCG\|50MCG INHR (GSK) FLUTICASONE\|SALMETER	FLUTICASONE\|SALMETEROL	SERETIDE DISKUS	60 DOSES	A	67.31	67.31	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	AVENTA BARBADOS	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2026-04-01	2028-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
40	A3954	FLUTICASONE \| SALMETEROL 500MCG \| 50MCG INHR (CIP/AHI)	FLUTICASONE\|SALMETEROL	FLUTICASONE\|SALMETEROL	60 DOSES	A	53.58	53.58	INHALER	1	INHR	CIP	CIPLA LTD	AHI	ARMSTRONG HEALTHCARE INC	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31		ORAL INHALATION	6	RESPIRATORY TRACT AGENTS
40	A3961	SERETIDE MDI 250MCG \| 25MCG INHR (GSK/COL) FLUTICASONE \| SALMETEROL	FLUTICASONE\|SALMETEROL	SERETIDE MDI	120 DOSES	C	62.17	62.17	INHALER	0	INHR	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31		ORAL INHALATION	0	RESPIRATORY TRACT AGENTS
41	A3961	SERETIDE MDI 250MCG\|25MCG INHR (GSK) FLUTICASONE\|SALMETEROL (C)	FLUTICASONE\|SALMETEROL	SERETIDE MDI	120 DOSES	C	68.39	68.393	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2024-04-01	2026-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
42	A3961	SERETIDE MDI 250MCG\|25MCG INHR (GSK) FLUTICASONE\|SALMETEROL	FLUTICASONE\|SALMETEROL	SERETIDE MDI	120 DOSES	C	71.82	71.82	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	AVENTA BARBADOS	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2026-04-01	2028-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
40	A3965	COMBIWAVE 250MCG \| 25MCG INHR (GLP/ALI) FLUTICASONE \| SALMETEROL	FLUTICASONE\|SALMETEROL	COMBIWAVE	150 DOSES	C	32.62	32.62	INHALER	0	INHR	GLP	GLENMARK PHARMACEUTICALS LTD	ALI	ALL HEALTH INC	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2022-03-22	Delete from contract	ORAL INHALATION	0	RESPIRATORY TRACT AGENTS	2022-03-22
40	A3966	SEROFLO 250MCG \| 25MCG INHR (CIP/AHI) FLUTICASONE \| SALMETEROL	FLUTICASONE\|SALMETEROL	SEROFLO	120 DOSES	A	39.96	39.96	INHALER	1	INHR	CIP	CIPLA LTD	AHI	ARMSTRONG HEALTHCARE INC	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31		ORAL INHALATION	6	RESPIRATORY TRACT AGENTS
41	A3966	SEROFLO 250MCG\|25MCG MDI (CIP) FLUTICASONE\|SALMETEROL	FLUTICASONE\|SALMETEROL	SEROFLO	120 DOSES	A	37.92	37.9206	INHR	1	BOX	CIP	CIPLA LTD	AHI	ARMSTRONG HEALTHCARE INC	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2024-04-01	2026-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
40	A3969	RELVAR ELLIPTA 200MCG \| 25MCG INHR (GSK/COL) FL	FLUTICASONE\|VILANTEROL	RELVAR ELLIPTA	30 DOSES	A	44.25	44.25	INHALER	1	INHR	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31		ORAL INHALATION	6	RESPIRATORY TRACT AGENTS
41	A3969	RELVAR ELLIPTA 200MCG\|25MCG INHR (GSK) F	FLUTICASONE\|VILANTEROL	RELVAR ELLIPTA	30 DOSES	A	46.02	46.0212	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	COLLINS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2024-04-01	2026-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
42	A3969	RELVAR ELLIPTA 200MCG\|25MCG INHR (GSK) FLUTICASONE\|VILANTERO	FLUTICASONE\|VILANTEROL	RELVAR ELLIPTA	30 DOSES	A	48.33	48.33	INHR	1	BOX	GSK	GLAXOSMITHKLINE	COL	AVENTA BARBADOS	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2026-04-01	2028-03-31		ORAL INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
40	A396A	AROFLO 250MCG \| 25MCG INHR (ARP/AHI) FLUTICASON	FLUTICASONE\|SALMETEROL	AROFLO	120 DOSES	A	32.27	32.27	INHALER	1	INHR	ARP	ARISTOPHARMA LTD	AHI	ARMSTRONG HEALTHCARE INC	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2022-06-30		ORAL INHALATION	6	RESPIRATORY TRACT AGENTS	2022-03-29
40	A396C	COMBIWAVE 250MCG \| 25MCG INHR (GLP/ATB) FLUTICASONE \| SALMETEROL	FLUTICASONE\|SALMETEROL	COMBIWAVE	150 DOSES	C	32.62	32.62	INHALER	0	INHR	GLP	GLENMARK PHARMACEUTICALS LTD	ATB	ANSA TRADING BARBADOS LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2023-09-30	Change Local Agent	ORAL INHALATION	0	RESPIRATORY TRACT AGENTS	2022-03-22
40	A396D	Combiwave 250/25 MCG INHR(GLP/AHI)	Fluticasone\|Salmeterol	COMBIWAVE	150 DOSES	A	$32.62	$32.62	INHALER	0	INHR	GLP	GLENMARK PHARMACEUTICALS LTD	AHI	ARMSTRONG HEALTH CARE INC	B	4892	RESPIRATORY AGENTS MISSCELLEOUS	2023-08-15	2024-03-31	LOCAL AGENT CHANGED	ORAL INHALATION		RESPIRATORY TRACT AGENTS	2023-12-11
42	A396D	COMBIWAVE 250MCG\|25MCG INHR (GLP) FLUTICASONE\|SALMETEROL	FLUTICASONE\|SALMETEROL	COMBIWAVE	150 DOSES	A	9.51	9.51	INHR	1	BOX	GLP	GLENMARK PHARMACEUTICALS LTD	AHI	ARMSTRONG HEALTHCARE INC	B	9244	IMMUNOSUPPRESSIVE AGENTS	2026-04-01	2028-03-31		ORAL INHALATION	6	IMMUNOSUPPRESSIVE AGENTS
42	A396H	COMBIWAVE 250MCG\|25MCG INHR (GLP) FLUTICASONE\|SALMETEROL	FLUTICASONE\|SALMETEROL	COMBIWAVE	150 DOSES	A	9.51	9.51	INHR	1	CNN	GLP	GLENMARK PHARMACEUTICALS LTD	CWS	CAPSULE WHOLESALE	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2026-04-01	2028-03-31		INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS
40	A4021	COMBIVENT 0.2MG/ML \| 1MG/ML RESP SOL (BOE/STO) IPRATROPIUM \| SALBUTAMOL	IPRATROPIUM\|SALBUTAMOL	COMBIVENT	20X2.5ML	A	67.14	3.36	RESPIRATORY	20	BOTT	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2022-04-01	2024-03-31		INHALATION	6	RESPIRATORY TRACT AGENTS
41	A4021	COMBIVENT 0.2MG/ML\|1MG/ML RESP SOL (BOE) IPRATROPIUM\|SALBUTA	IPRATROPIUM\|SALBUTAMOL	COMBIVENT	20X2.5ML	A	69.15	3.4577	BOX	20	BOTT	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	4892	RESPIRATORY AGENTS MISCELLANEOUS	2024-04-01	2026-03-31		INHALATION	6	RESPIRATORY AGENTS MISCELLANEOUS